Mr Kevin Thomas Ryan, MA, MFCT, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in The Dalles, Oregon. His current practice location is
119 E 2nd St Ste 216, The Dalles, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 296-6114.
Mr Kevin Thomas Ryan is licensed to practice in Oregon (license number T0405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033398284.
Healthcare Provider's Profile
| Full Name | Mr Kevin Thomas Ryan |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 119 E 2nd St Ste 216, The Dalles, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033398284
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 02/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 0547773046
- Enrollment ID: I20250627003410
Medical Identifiers
Medical identifiers for Mr Kevin Thomas Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033398284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | T0405 (Oregon) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC31395 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kevin Thomas Ryan allows following entities to bill medicare on his behalf.
| Entity Name | Kevin Ryan PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972139947 PECOS PAC ID: 9638682131 Enrollment ID: O20250627003248 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Thomas Ryan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Kevin Thomas Ryan, MA, MFCT, LMFT 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 Ph: (541) 296-6114 | Mr Kevin Thomas Ryan, MA, MFCT, LMFT 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 Ph: (541) 296-6114 |
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